Provider Demographics
NPI:1285660928
Name:RAPATZ-HARR, STEPHEN JUDE (PA)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:JUDE
Last Name:RAPATZ-HARR
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2829 UNIVERSITY AVE SE STE 730
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3279
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 STATE AVE
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-6339
Practice Address - Country:US
Practice Address - Phone:507-334-8333
Practice Address - Fax:507-497-3898
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN8917363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN948153200Medicaid
MN948153200Medicaid
MN970003642Medicare PIN